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33D2051650 CLIA NUMBER - BHUPINDER SINGH BOLLA, MD, PLLC DBA PAIN SOLUTIONS OF NORTHERN NEW YORK

Laboratory Demographics

CLIA Number: 33D2051650

Facility Name: BHUPINDER SINGH BOLLA, MD, PLLC DBA PAIN SOLUTIONS OF NORTHERN NEW YORK

Facility Address:
26561 STATE ROUTE 3
WATERTOWN, NY
ZIP 13601
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Facility Phone Number: 603 647-2333

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1386680874

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name Field Value
CLIA Number 33D2051650
LAB Type Physician Office
Facility Name BHUPINDER SINGH BOLLA, MD, PLLC DBA PAIN SOLUTIONS OF NORTHERN NEW YORK
Street 26561 STATE ROUTE 3
City WATERTOWN
State NY
ZIP 13601
Phone 603 647-2333
CertificateType 4
CertificateEffectiveDate 12/24/2022
CertificateExpirationDate 12/23/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024